ABSTRACT

200The study aimed to identify the meanings and mechanisms of partnership between health professionals and self-help group members. The three project stages involved in-depth individual interviews of professionals (n = 47) and of members (n = 49) using a semistructured interview guide; separate group interviews of professionals and members to rank themes which emerged in Phase I, and a joint professional/member workshop. A Partnership Framework was developed. The predominant partnership characteristics identified by professionals were egalitarian, flexible, decreased professional control, understanding and shared goals; and by members were trusting, reciprocal, shared goals, flexible and understanding. The five critical obstacles to partnerships, from professionals’ standpoint were communication, attitudes, role ambiguity, the formal health care system and ideological conflicts, and from self-help groups’ perspectives were knowledge, the system, skills deficiency, attitudes and ideological conflicts. The foremost mechanisms for achieving partnership according to health professionals involved education, clearinghouses, and role and goal clarification; to self-help group members, they entailed trust building, communication building, and education. [Note: italics denote consensus by professionals and members.]